Análise dos principais microrganismos associados à infecção hospitalar em um Hospital Universitário na Paraíba.

Abstract

Hospital Infection is a serious public health problem due to the breadth of its incidence, the increased morbidity and mortality and hospital costs, causing human, social and economic impacts. This study aims to analyze the main microorganisms isolated and identified in the period July 2012 to June 2014, associated with infections in the wards of Clinical Medicine of an University Hospital of Paraíba. Besides proposing measures to be taken by health professionals, aimed at reducing hospital infection rates in this Unit. This is a descriptive exploratory study with quantitative and qualitative approach, using as an information source, the database of the Commission of Infection Control (CCIH) of a University Hospital. So the procedure is technical and documental. 151 files were analyzed, and excluded those in which there was no laboratory evidence of IH, working with 114 files. The rate of IH ranged from 3,7% to 8,9%, averaging 6,3%. The four major identified microorganisms were Klebsiella pneumoniae (23,3%), Pseudomonas aeruginosa (16%), Escherichia coli (13%) and Acinetobacter baumannii (8.9%). Many of these hospital infections could have been avoided with simple measures of health surveillance. So there is an urgent need for a planning and implementation process of specific protocols and well-established measures, with multidisciplinary decisions, with investments in continuing education to prevent and control infection thus contributing to the mitigation of risk factors and consequently reducing hospital infection rates.